I would wake up 4 to 5 times a night in a pool of sweat and still have to go to work in the morning. I would have insomnia and terrible headaches. Once I was on the bioidentical cream, I felt like a normal human again. I tried the pills for a while, but my symptoms returned quickly. Any time I have gone off of the cream, my symptoms returned. As long as I am on the cream I have a great life. I'm sure that if you have been through this, you would not like to see it removed.